Your Name: Meena Kanagasabapathy

Theme: GI Infections

OPTION LIST

A	Giardiasis	I	Tuberculosis of the gut
B	Clostridium difficile	J	Bacterial Dysentry
C	Stress	K	Rotavirus
D	Verotoxin-producing E.coli	L
E	Cholera	M
F	Ulcerative colitis	N
G	Salmonella	O
H	Bacillus cereus	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 40 year old female, who is a ex-smoker, who has recently returned from a holiday in India, comes to A+E complaining of severe abdominal cramps and bloody diarrhoea. She mentions that her mother suffered from similar symptoms in the past.

2. A 25 year old male student woke up in the middle of the night with sudden vomiting. He has been vomiting for the past few hours. The night before, him and his flatmate had had a Chinese takeaway. He ate rice whilst his friend had noodles.

3. A 30 year old male is brought into hospital. He is very dehydrated and is feeling very weak. He has had unrelenting diarrhoea, which came on suddenly. He describes the stools as looking like rice. He has no abdominal pain.

4. A 70 year old male who has been in hospital for 3 weeks develops profuse, watery diarrhoea and he has a fever. There is sometimes blood in the stool. On a sigmoidoscopy, the bowel appeared inflamed. He has been taking amoxycillin

5. A 34 year old female returned from Indonesia two weeks ago. She complains of diarrhoea, abdominal pain, weight loss, nausea and vomiting for the past few days. She has no fever. Investigation reveals steatorrhoea and stools appear to contain numerous cysts.

ANSWERS

1. F

2. H

3. E

4. B

5. A